iPhone app iPad app Android phone app Android tablet app More

Featuring fresh takes and real-time analysis from HuffPost's signature lineup of contributors
GET UPDATES FROM Marcelle Pick, OB-GYN N.P.
 

Sugar's Health Effects: Why You Should Look For Life's Sweetness Elsewhere

Posted: 07/ 5/2011 1:14 pm

I've seen women shed tears in my office when I tell them to stop eating sugar for a week.

Many of us have been brought up associating sugar with love and "being a good girl or boy," but it can also act like a drug in our brains. Sugar leads to the release of powerful chemicals like serotonin, beta-endorphin and the reward chemical dopamine. No wonder we can't live without it!

After reading Gary Taubes' article on sugar in The New York Times, I couldn't resist writing a post about sweets. I wholeheartedly agree with Taubes and the expert he cites, Dr. Robert Lustig, professor of endocrinology at the University of California, about the dangers of sugar and how much sugar we have come to consume in this country. It feels like everything these days has sugar or high fructose corn syrup in it -- meatballs, pickles, even cigarettes. And every year, we see more and more health issues related to obesity.

I don't believe that willpower is the reason for our obesity epidemic. It's more about how sugar affects our physiology. It not only makes us feel good, but it can confuse the brain into thinking we're still hungry even after we've had plenty to eat. When our food makes us more hungry instead of satisfied, of course we'll keep eating. We'll keep eating until we gain weight and get sick.

I think it's time we stopped being held hostage by the sugar industry. Our health is on the line.

It's a shame that sugar is so connected within many of us to feelings of love and positivity -- life without treats can seem empty. The good news is that we don't have to entirely give up sweetness in our lives to stay healthy and prevent disease. There are many ways to get at what's sweet in life -- and there are many natural sweeteners to experiment with.

Sugar's Mind-Body Experience

I remember taking my kids out to dinner one night before they had ever tasted sugar, and my son dipped his finger into a bowl of sugar that was out on the table. He looked at me in amazement and gasped, "Mommy! Can I have more?" We've all felt the instant pleasure associated with a sugar rush. In fact, Professor Bart Hoebel of Princeton has found in his research on rats that binging on sugar can lead to neurochemical changes that act the same as cocaine and nicotine in the brain.[1] Sugar can prompt the release of feel-good neurotransmitters, like serotonin and beta-endorphin. It triggers the "reward" chemical, dopamine, too, so eating sugar can provide a sensation of satisfaction and pleasure that's hard to replace.[2]

In the short-term, a high-sugar diet can lead to headaches, indigestion, joint pain and imbalanced gut flora. But it gets worse over time. A high-sugar diet over many years can feed inflammation, I believe, and therefore lead to health problems like heart disease, metabolic syndrome, Type 2 diabetes and even cancer. One of the first things I tell patients with cancer is to stop eating sugar.[3]

Fiber: Sugar's Natural Companion

Nature provides plenty of wonderful sweets to enjoy, but in most cases she protects us by adding fiber. Fiber can help level the spike in blood sugar and the subsequent spike in insulin caused by sugar intake. When I want something sweet, I try fruit first. Baked apples with a little bit of cinnamon are delicious. Spices like cinnamon, vanilla and nutmeg or coconut oil can add sweet flavors without sugar.

What are Your Sugar Cravings Telling You?

A treat every once in a while is one thing, but relentless cravings are another. I like to tell my patients that cravings are messages from your body. Please don't ignore them or blindly give in to them. Instead, explore what it is your body is trying to tell you. Non-stop sugar cravings may mean something physiological is going on in your body.

There are many potential causes for craving sugar, including stress, hormonal fluctuations, insulin resistance, food sensitivities, systemic yeast, low serotonin levels and consumption of excessive acid-forming foods. For more on possible causes of sugar cravings, read my article, Do Sugar Cravings Have You by the Neck?

Another avenue to explore is assessing the sweetness in your life. This is a sensitive area for people, but I find many of us seek sugar to fill a void in our lives. The neurochemical pleasure and satisfaction we receive from sugar makes alternatives (other than drugs or alcohol) seem impossible to find, but thankfully they do exist. Finding rewarding work, a fulfilling relationship, some form of exercise, or a strong connection to a group or community can often affect our positive endorphins. For me, having a creative outlet is my bliss. I sew, make jewelry and have finally been able to sign up for dance lessons again now that my children are in college. Bliss in our lives truly can affect our physiology.

A Sweet Alternative

I continue to bake cakes and cookies on holidays and special occasions, but I alter my recipes to remove gluten and include more protein, and I try to use natural sweeteners that don't cause my blood sugar to skyrocket. Here are a few alternatives to experiment with:

• Stevia: Stevia rebaudiana is an herb in the sunflower family that has been used at least since the 1800s. It is sweeter than sugar and has little effect on blood sugar, making it an excellent option for diabetics and those concerned with spikes in blood sugar.
• Xylitol: Xylitol is a carbohydrate found in fibrous fruits and vegetables and is also made in our bodies during healthy metabolism. It has fewer calories than sugar, is slowly absorbed in the body and does not require insulin to process in the body.
• Erythritol: Erythritol is a natural sugar alcohol that is found in fruit and fermented food. It doesn't taste quite as sweet as sugar, but has almost no calories (0.2 calories/ gram) and doesn't affect blood sugar. Unlike other sugar alcohols, erythritol is absorbed before hitting the large intestine and doesn't cause gastrointestinal side effects.
• Other natural sweeteners include things like maple syrup, molasses, honey, date sugar, rice syrup and barley malt. These are always better choices than white sugar because they all contain more nutritional value. Keep in mind they still cause blood sugar to rise in the body.

Rest assured, life can be sweet without sugar! It may take some creativity and certainly some careful attention to food labels, but your overall health will benefit on almost every level. Stay informed about the food you consume and make a pact with yourself to find the sweetness in your life.

_______

My Favorite Chocolate Almond Cake

¼ cup unsalted butter, cubed
4 ounces unsweetened dark chocolate, finely chopped
1/3 cup finely chopped almonds
3 eggs, separated
1/3 cup plus 1 tablespoon erythritol
½ teaspoon almond extract

Preheat oven to 375 degrees. Lightly butter a 4-inch springform pan. Using a double boiler over medium heat, melt butter and chocolate, stirring until smooth. Remove from heat and add almonds. Mix together egg yolks and sweetener. Pour egg mixture into chocolate, stirring well. Add almond extract. Whip egg whites until firm peaks form. Fold egg whites into chocolate mixture, being careful not to overmix. Pour mixture into springform pan. Bake 14-16 minutes or until cake is firm in the center. Remove from oven and cool on cooling rack. Cool completely before cutting. Serve with fresh berries.

Makes 6 servings.

_______
References:
[1] Avena, N, et al. 2007. Evidence for sugar addiction: Behavioral and neurochemical effects of intermittent, excessive sugar intake. Neuroscience and Biobehavioral Reviews, 32, 20-39. http://www.foodaddictionsummit.org/docs/Hoebel-sugaraddiction.pdf.

MacPherson, K. 2008. Sugar can be addictive, Princeton scientist says. http://www.princeton.edu/main/news/archive/S22/88/56G31/index.xml.

[2] Rada, P, et al. 2005. Daily binging on sugar repeatedly releases dopamine in the accumbens shell. Neuroscience, 134(3), 737-44. http://www.ncbi.nlm.nih.gov/pubmed/15987666

[3] Cantley, L. 2002. The phosphoinositide 3-kinase pathway. Science, 296(5573), 1655-7. http://www.ncbi.nlm.nih.gov/pubmed/12040186

Science Watch. 2010. Science Watch Interview with Lewis Cantley, Harvard Medical School. http://www.sciencewatch.com/inter/aut/2010/10-nov/10novCant/

 
 
 

Follow Marcelle Pick, OB-GYN N.P. on Twitter: www.twitter.com/marcellepick

 
 
  • Comments
  • 22
  • Pending Comments
  • 0
  • View FAQ
Comments are closed for this entry
View All
Favorites
Recency  | 
Popularity
HUFFPOST SUPER USER
MrsGreebers
10:11 AM on 07/27/2011
Be careful about xylitol and other sugar alcohols. MANY cannot digest them and they are in many "sugar free candies. Try them out when you're spending the day ALONE and close to the bathroom.
11:53 PM on 07/14/2011
Interesting!!!! Have you a post about how to avoid fatty foods? Thank you, and for your informational emailed newsletter, too.
09:04 PM on 07/13/2011
I always struggle with sugar. I try to use stevia and agave syrup, don't drink soda or juice, only eat whole wheat/grains, choose dark chocolate, NEVER eat HFCS, but I feel like I have too much fruits, dates, etc. Yes, it's more natural, and I tend to avoid foods that have sugar listed in the ingredients. But the fruit studies are often conflicting. And I don't know about other women, but during that time of the month I crave sugar like crazy and it's hard for me not to give in a bit:(
02:28 PM on 07/13/2011
All carbs and starches are dietary sugar in its many forms. We cannot live without it. Glucose is the bodies preferred fuel. Our bodies make it with the carbs, and starches that we eat. Other sugars are made by our bodies while sleeping with fats processed by the liver. Ordinary table sugar , which is sucrose, is oly 20 calories per teaspoon. A calorie is a unit of energy. Sucrose is quickly turned into glucose by the human body. Sugar has its place in our food consuption because its sweet taste produces saliva, which is the first part of digestion. It would take 5 teaspoons of ordinary table sugar to equal 100 calories. This sounds like diet food to me. LOL
photo
TakeSake
The United States for All Americans
11:43 PM on 07/10/2011
My sugar substitute: vinegar!

Back when apple pie with ice cream was almost sweet enough, I couldn't stand anything that had vinegar, or tolerate anything like sauerkraut.

Some time ago, for various reasons, I slowly tried, and got used to, things with vinegar, which eventually led to sauerkraut, and things like that.

As my taste preference moved towards vinegar, it naturally moved away from sweetness.

Now most things that are sweet are simply too sweet, and kimchi is a mellow treat.
photo
HUFFPOST SUPER USER
Chuck Bluestein
Always searching for latest health breakthrough
09:37 PM on 07/10/2011
I agree with your choice of sweet alternatives. Maybe the food industry is heavily invested in the medical industry so they want people to be obese and have type 2 diabetes. The sugar that they add to foods is not whole sugar cane. They take out the blackstrap molasses. That is sold in health food stores. It is loaded with minerals and vitamins. The sugar that is left has no nutritional value at all. It is pure carbohydrate. So then it has to rob the body of nutrients that had been in it.

But now more foods contain high fructose corn syrup (HFCS). than sugar. It has no nutrients but is much worse for blood sugar and health than sugar. So it is more effective at destroying health. In fact some companies now brag that their product contains real sugar. https://bitly.com/be-fit

The side effects of stevia and xylitol are they help prevent tooth decay. Do a search and see. Also stevia helps the body to regulate blood sugar and blood pressure. An M.D. wrote a book, SuperFoods Rx, about the 23 healthiest foods. One of them is honey. It says: "Honey contains at least 181 known substances, and its antioxidant activity stems from the phenolics, peptides, organic acids and enzymes." He says that honey is one of the oldest medicines known to man. To get products sweetened with these alternatives go to a health food store instead of the fat and sick food store.
02:32 PM on 07/13/2011
Germs that live off of dietary sugar cause tooth decay. All starches and carbs are dietary sugar. Brusha...Brusha...Brush !
photo
HUFFPOST SUPER USER
Chuck Bluestein
Always searching for latest health breakthrough
01:33 PM on 07/20/2011
The xylitol and stevia help to prevent tooth decay since they are anti-bacterial and help to fight off the germs that cause tooth decay. Besides brushing teeth, people should also floss the teeth before brushing them.
05:53 PM on 07/10/2011
Hello, I agree with everythig the article says except the last statement about natural sweetners. Dr. Lustig in his video is talking about fructose, not all sugars, as being a cause of obesity and many health issues. Dates, honey, molasses, are all very high in fructose. If you really need sugar, perhaps a monsaccharide like dextrose (glucose) is a better choice. Brewers use it to make beer and it is inexpensive. I stopped consuming products with fructose and fruit (temporarily) and have been losing 1 1/2 pounds a week.........
11:26 AM on 07/09/2011
I stopped eating anything with sugar in it four months ago, and have lost over 30 pounds. It wasn't the only diet change I made, but it was a big one. Cookies and toast with honey or jam were main-stays of my old way of eating. By "sugar" I mean any caloric sweetener, including corn syrup. I experimented with non-caloric sweeteners, but I've recently decided they are an unneeded crutch and am dropping those, too. What does that leave me with for a little sweetness in my diet? Pretty much berries -- in small amounts, of course. It's enough. A strawberry tastes extraordinarily sweet to me now.
photo
HUFFPOST COMMUNITY MODERATOR
LisaLisa1234
08:45 AM on 07/10/2011
Welcome to HP & congratulations on your life after carbs! :)
02:37 PM on 07/13/2011
When I want to lose weight, I give up all flour products. No matter if it is wheat or white. I do eat oatmeal, rice, potatoes and corn each day to provide necessary energy. I lose weight quickly with this method. I do eat white table sugar because it is only 20 calories per teaspoon
This user has chosen to opt out of the Badges program
photo
sabelmouse
i love to tumble , ask me why .
07:37 AM on 07/09/2011
i remember when my son had his first lick of ice cream. he was an addict right away. i've been trying to get him of the sauce ever since.
meanwhile my daughter never liked anything sweet when she was little. it took her brother many years to get her into eating sweets.
IMOPINIONH8D
because I want it empty...
07:29 AM on 07/08/2011
I quit putting sugar on or in anything about 5 or 6 years ago. Its like quitting smoking things taste better now.
09:27 AM on 07/07/2011
I gave up sugar and artificial sweeteners, but I am as addicted as ever to stevia and erythritol. So I guess trying to avoid the harm without giving up the "hit" of sweet sensation doesn't work. Fiber's not the answer, either. I consume a high fiber diet, but it doesn't blunt my cravings for sweets.
06:30 PM on 07/06/2011
Plus sugar feeds fungi that live in your body. Too many sugary sweets leads to overgrowth, an acidic environment, and disease in general.
HUFFPOST SUPER USER
DrP
05:28 PM on 07/06/2011
Very good advice. I gave up sugar and the foods that metabolize as sugar (grains and starches) 11 years ago. The answer for me is "just say no." Always. Not even as an occasional treat. The "treat" for me is how great a feel without it. Having a sugary treat will lead to more cravings and make it much more difficult to eliminate the sweets again. Marcelle is right to point out that all sources of sugar will cause blood sugar (and insulin) spikes, which are what lead to many health problems and cause weight gain.
The almond cake is similar to the occasional desserts I make, which is more rare as time goes by and I don't even desire the taste of something sweet anymore. However, I recently had a bout of GI problems, and the only thing I could trace it to was erythritol. I am particularly sensitive to alchohol and sugar alcohols, so not everyone can handle erythritol. I am experimenting with using stevia, but I find it hard to determine the right amount to use in recipes.
06:28 PM on 07/06/2011
Stevia
1/8 tsp = tablespoon of sugar
2 tablespoons = 1 cup sugar
HUFFPOST SUPER USER
DrP
07:42 PM on 07/06/2011
Thanks!
01:43 PM on 07/06/2011
So true! My friend visited your Women to Women Clinic in Yarmouth, Maine and learned she had to give up sugar in order to deal with her cravings. It wasn't easy! But she's stuck with it and feels like a new woman!
photo
HUFFPOST SUPER USER
bracken
12:08 PM on 07/06/2011
That first sentence says it all.